This practice is rated as Good overall. (This is the first inspection of the service under this provider.)

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced comprehensive inspection at King Street Medical Centre on 6 June 2018 as part of our inspection programme. The current provider registered this practice in September 2017. Previous staff including the practice manager were retained until January 2018 when the current team took full managerial responsibility.

At this inspection we found:

• The practice had put in place clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines. Particular emphasis was placed on improving patient engagement for recall of long term conditions, baby immunisations and cervical smears.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients found the appointment system easy to use and reported that they could access care when they needed it.
• The management team led a work plan which placed a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

• Clinical staff should continue to develop two cycle audits or other quality improvement work in order to demonstrate improvements in patient care and outcomes.
• Staff should take action to establish regular staff meetings which encourage learning and improvement after serious incidents.
• Multidisciplinary meetings should be established at the practice to demonstrate clear care coordination of patients with complex needs.
• All substances hazardous to health had been identified, however a risk assessment should be carried out.
• Practice staff should consider fitting a hearing loop to support patients with a hearing impairment.
• Seek assurance from the landlords in respect of the electrical safety certificate.
• Practice staff should introduce a patient survey to monitor patient views about the service.
• Consideration should be given to increasing the practice nurse hours available.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.